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TARA BREBRIC PA-C
NPI 1558045740
Physician Assistant - Surgical in New York, NY

Active since June 09, 2023PECOS Enrolled
1120 LEXINGTON AVE, NEW YORK, NY 10075(212) 434-4350 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2025, Jun 9, 2023 (2 updates tracked since 2023).

About Tara Brebric Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA BREBRIC PA-C (NPI 1558045740) is an individual surgical provider in New York, New York and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558045740
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameTARA BREBRICCredential: PA-C
Location Address1120 LEXINGTON AVENew York, NY 10075-0309
Mailing Address1120 Lexington AveNew York, NY 10075-0309 · (212) 434-4350
Phone(212) 434-4350
Sole ProprietorNo
Enumeration DateJune 9, 2023
Last NPPES UpdateSeptember 19, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
✔ NPI 1558045740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
1120 LEXINGTON AVE, New York, NY 10075
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tara Brebric Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JENNY LAM NP
Nurse Practitioner
1120 LEXINGTON AVE
NEW YORK, NY 10075
New York County (212) 434-4350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tara Brebric's NPI number?

The NPI number for Tara Brebric is 1558045740. It was assigned to this individual provider in the NPPES registry on June 9, 2023.

Where is Tara Brebric located?

Tara Brebric practices at 1120 Lexington Ave, New York, NY 10075. The listed phone number is (212) 434-4350.

What is Tara Brebric's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Tara Brebric enrolled in Medicare?

Yes. Tara Brebric is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tara Brebric was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.